A 32-Year-Old Man Is Brought to the Emergency Department with a Several-Day

question 189

Multiple Choice

A 32-year-old man is brought to the emergency department with a several-day history of high-grade fever, dyspnea, and fatigue.  The patient's temperature is 39.4 C (102.9 F) , blood pressure is 122/70 mm Hg, and pulse is 102/min and regular.  Physical examination reveals a new holosystolic murmur with a blowing quality that is best heard over the cardiac apex.  Skin examination shows nontender lesions on the sole of the feet, as shown in the image below. Which of the following do these lesions most likely represent?

• A)Areas of local vascular growth
• B)Foci of granulomatous inflammation
• C)Immune complex-mediated vascular lesions
• D)Microemboli to skin vessels
• E)Primary infection foci

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Definitions:

Accounts Receivable Turnover

A financial ratio that measures how efficiently a company collects revenue from its credit sales, calculated as sales divided by average accounts receivable.

Days' Sales in Receivables

A financial metric that estimates the average number of days it takes a company to collect payments after a sale has been made.

Financial Statement

A formal record of the financial activities and position of a business, person, or other entity, typically comprising the balance sheet, income statement, and cash flow statement.

Trend Indication

An analysis or estimate aimed at predicting the future direction of something, often based on past and present data.